If you're married, what is the total amount of your spouse’s federal student loan debt?

$

What is the highest interest rate owed on your loan(s)? *

%

What is the date of your first loan disbursement?

Are your loans currently in default? *

Yes No

* Indicates required field

Step 3 of 4: Your employment

School where you work *

School Name

School district/employer *

Occupation *

Are you a classroom teacher? *

Yes No

Do you teach any of these subjects? Select any that apply.

Special Education

Math or science - High school

Math or science - Middle

How many consecutive years have you been teaching at this school?

List any school(s) where you taught in the classroom prior to your current position.

Do you plan to be in full-time public service employment for at least the next 10 years? *

* Indicates required field

Step 4 of 4: Household and tax information

Individual annual Adjusted Gross Income (AGI) *

$

Household annual adjusted gross income (AGI) *

$

How did you file your last tax return? *

How many children, including unborn children, are in your family and receive more than half of their support from you? *

How many people, excluding your spouse and children, live with you and receive more than half of their support from you? *

How did you hear about Horace Mann’s Student Loan Solutions? *

Do you want to add an auto insurance quote?

We hope to save you money on your student loans, and we’d also like to save you money on your auto insurance with our educator discounted products! Would you like to add an auto quote to your student loan assessment? It will only require that you check the box to your left and agree to the Notice of Information Practices.